NPI age
7 years
Enumerated 2018-11-05
● Active
Type 1 · Individual
MRS. Mattie Mae Farmer Clark, CST/CSFA
Farmer Clark is 1 of 11 specialist/technologist, other providers in Fayetteville and 1 of 399 in Georgia.
Primary specialty
Specialist/Technologist, Other
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2018-11-05
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 399 active specialist/technologist, other providers in Georgia.
NPI age
7 years
≈ at median (6 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties
NPI lifetime · 2018 → 2026
2018-11Enumerated in NPPES
2018
2026
Where they practice
Practice location
Piedmont Fayette Hospital, 1255 Highway 54 West
Fayetteville, GA 30214
Mailing address
91 Covington Ter
Newnan, GA 302635771
Specialties
-
Specialist/Technologist, Other PrimaryA surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting,...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
Provyx · Custom healthcare lists
Need all 399 Specialist/Technologist, Other providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.